Provider Demographics
NPI:1740548890
Name:BLANNING, JULIANNA FOSTER (LCSW, MS)
Entity type:Individual
Prefix:MRS
First Name:JULIANNA
Middle Name:FOSTER
Last Name:BLANNING
Suffix:
Gender:F
Credentials:LCSW, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 N. LASALLE ST.
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-4510
Mailing Address - Country:US
Mailing Address - Phone:773-683-9230
Mailing Address - Fax:866-605-5656
Practice Address - Street 1:451 N. LASALLE ST.
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-4510
Practice Address - Country:US
Practice Address - Phone:773-683-9230
Practice Address - Fax:866-605-5656
Is Sole Proprietor?:No
Enumeration Date:2012-04-26
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical